State Governments are instrumental in delivering healthcare services under the ESI Act. An enabling provision was inserted in the Act to establish a body at the State level to address certain operational issues.

A committee, entitled Medical Services and Medical Education (MSME), was constituted to explore various options to improve operational efficiency.

In the current context of the pension scheme in Korea, low-income employees at small businesses have a higher risk of falling into a blind spot, not covered or benefiting from the social insurance, as they are reluctant to enroll due to the financial burden the pension contributions place on both employers and employees. The Korean society recognized the need to strengthen the social safety net for the vulnerable, particularly those at the lower end of the wage scale.

China is progressively implementing a national social insurance coverage registration programme to speed up full social insurance coverage, and to put in place a more equitable and sustainable social security system.

The registration programme is a dedicated initiative to promote full and sustained coverage of working people and of urban and rural residents.